Journal of Wound Ostomy & Continence Nursing

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​Welcome to 2023 and another issue of Journal of WOCN that will help you celebrate the new year with evidence-informed practice. The wound section contains information pertinent across the lifespan, and some findings may surprise you. Moyse, Bates, Bena, Morrison, and Albert targeted the ongoing problem of hospital-acquired pressure injuries (HAPIs) and discuss the use of a HAPI risk scale in vascular disease patients, a high-risk group. Using the risk nomogram to identify high risk HAPI patients, HAPI rates decreased significantly due to the early warning “red flag" cut score of 18 for nurses who instituted a mobility intervention and best practices. And this decrease occurred in the presence of higher patient acuity. Apparently, knowledge is power.

Boyar and Desai conducted a case-control study on 33 neonates to assess the effects of a no-sting liquid film barrier on their skin and maturation of the stratum corneum. Measurements of skin pH, hydration, trans-epidermal water loss (TEWL), and skin condition were obtained on neonates' treated skin (left side of body) and untreated skin (right side) over 14 days with the patients acting as their own control. Worsening skin condition on the treated side was observed along with lower hydration. The researchers suggest that no-sting liquid film barrier be limited to skin under medical devices, dressings, tapes and affected areas and should not be routinely used on normal skin as it may delay skin maturation. Too much of a good thing may be true.

Banerjee, Singh, and colleagues ​conducted a prospective case series review assessing the nature of microorganisms in pilonidal sinuses in India. Using exudate samples of 20 patients, they identified common organisms like Escherichia coli, Enterococcus faecalis, and Bifidobacterium but also some unusual pathogens like Kocuria flava. The emergence of this microbe is clinically relevant as no guidelines for antibiotic therapy exist. Factors like male gender, increased body mass index, absence of hair in sinus, features of hirsutism, and absence of Fusobacteria were closely associated with bacterial diversity. 

​​Check out this issue; what you can learn is well worth your time.

Your Colleague,
Janice Beitz, Deputy Editor

Sleep Problems in Individuals With Intestinal Stomas and Determining the Quality of Sleep: A Multicenter Study

Avci Işik, Sevcan; Balanuye, Berrak; Budak Ertürk, Elif; More

Journal of Wound, Ostomy and Continence Nursing. 50(1):39-46, January/February 2023.